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Organization

AMMONS PSYCHOLOGICAL SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT BRUCE AMMONS III PH.D. (CLINICAL PSYCHOLOGIST-SOLE PROPRTR)
(406) 728-8818
Entity
Organization

Contact information

Practice address
2831 FORT MISSOULA RD STE 201, PHYSICIANS' CENTER #2, MISSOULA, MT 59804-7401
(406) 728-8818
(406) 728-8818
Mailing address
2831 FORT MISSOULA RD STE 201, PHYSICIANS' CENTER #2, MISSOULA, MT 59804-7401
(406) 728-8818
(406) 728-8818

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
374
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0057850
MT
Enumeration date
05/31/2007
Last updated
08/22/2020
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